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Kenai Peninsula
North Slope
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Pickup/Crew Vehicle Pre-Trip Inspection
DOT-Style Daily Vehicle Inspection
📋
Inspection Information
Date
*
Time
*
District / Base
*
Select District / Base...
Kenai
CIO
Kuparuk
Alpine
Willow
Pikka
Badami
Point Thomson
Endicott
Northstar Island
Prudhoe Bay East
Prudhoe Bay West
Deadhorse
Shop / Yard
In Transit
Other
Inspector/Driver Name
*
Vehicle Number
*
Vehicle Type
*
Select Type...
Pickup Truck
Crew Cab Truck
SUV
Van
Crew Bus
Service Truck
Sedan
Other
Make
Model
Year
License Plate
Odometer Reading
*
🔍
Vehicle Inspection
🔧 Engine Compartment
Pending
✓
Oil level adequate
✓
Coolant level adequate
✓
Brake fluid level adequate
✓
Power steering fluid adequate
✓
Windshield washer fluid adequate
✓
No visible leaks
✓
Belts in good condition
✓
Battery connections secure
✓ ALL PASS
✗ DEFECTS FOUND
🚙 Exterior / Body
Pending
✓
Windshield - no cracks/chips
✓
All windows clean and clear
✓
Mirrors intact and adjusted
✓
Wipers functional
✓
Body - no major damage
✓
Doors open/close properly
✓
Tailgate/hatch functional
✓
Mud flaps in place (if equipped)
✓ ALL PASS
✗ DEFECTS FOUND
💡 Lights & Signals
Pending
✓
Headlights (low beam)
✓
Headlights (high beam)
✓
Tail lights
✓
Brake lights
✓
Turn signals (front)
✓
Turn signals (rear)
✓
Hazard lights
✓
Reverse lights
✓
License plate light
✓ ALL PASS
✗ DEFECTS FOUND
🛞 Tires & Wheels
Pending
✓
LF tire - condition/inflation
✓
RF tire - condition/inflation
✓
LR tire - condition/inflation
✓
RR tire - condition/inflation
✓
Spare tire present and inflated
✓
Lug nuts tight
✓
No bulges, cuts, or damage
✓ ALL PASS
✗ DEFECTS FOUND
🪑 Interior / Cab
Pending
✓
Seat belts functional (all)
✓
Horn works
✓
Gauges/instruments working
✓
Heater/defroster works
✓
Steering wheel secure
✓
Brakes - pedal firm
✓
Parking brake holds
✓
Gear shift operates properly
✓
Interior clean and orderly
✓ ALL PASS
✗ DEFECTS FOUND
🧯 Safety Equipment
Pending
✓
Fire extinguisher (charged)
✓
First aid kit present
✓
Warning triangles/flares
✓
Flashlight functional
✓
Jumper cables
✓
Ice scraper/snow brush (winter)
✓
Emergency contact info posted
✓ ALL PASS
✗ DEFECTS FOUND
Complete all sections above to see overall status
✅
Certification
Additional Defects/Notes
Corrective Actions Needed
Vehicle Safe to Operate?
*
Yes - Safe
No - Unsafe
Supervisor Notified of Defects?
*
Yes
No
N/A
Driver Signature (Type Full Name)
*
Additional Comments
✅ Submit Vehicle Inspection
AnthroSafe™ Field Driven Safety
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